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Page 11 <br />The City will use a “split urine specimen” collection procedure for controlled substance testing. <br />Collection of urine specimens for controlled substance testing will be conducted by an <br />approved collector and will be conducted in a setting and manner to ensure the driver’s <br />privacy. <br /> <br />Controlled substance testing generally takes about 15 minutes. At the collection site, the driver <br />will be given a sealed container and must provide at least 45 ml of urine for testing. <br />Once the sample is provided the collection personnel will check the temperature and color and <br />look for signs of contamination. The urine is then split into two separate specimen containers <br />(A, or “primary,” and B, or “split”) with identifying labels and security seals affixed to both. The <br />collection facility will be responsible for maintaining a proper chain of custody for delivery of <br />the sample to a DHHS-certified laboratory for analysis. The laboratory will retain a sufficient <br />portion of any positive sample for testing and store that portion in a scientifically acceptable <br />manner for a minimum 365-day period. <br /> <br />If an employee fails to provide a sufficient amount of urine to permit a controlled substance <br />test (45 milliliters of urine), the collector will discard the insufficient specimen, unless there is <br />evidence of tampering with that specimen. The collector will urge the driver to drink up to 40 <br />ounces of fluid, distributed reasonably over a period of up to three hours, or until the driver has <br />provided a sufficient urine specimen, whichever occurs first. If the driver has not provided a <br />sufficient specimen within three hours of the first unsuccessful attempt, the collector will cease <br />efforts to attempt to obtain a specimen. The driver must then obtain, within five calendar days, <br />an evaluation from a licensed physician, acceptable to the MRO, who has expertise in the <br />medical issues raised by the employee’s failure to provide a sufficient specimen. If the licensed <br />physician concludes the driver has a medical condition, or with a high degree of probability <br />could have, precluded the driver from providing a sufficient amount of urine, the City will <br />consider the test to have been canceled. If a licensed physician cannot make such a <br />determination, the City will consider the driver to have engaged in a refusal to test and will take <br />appropriate disciplinary action under this policy. <br /> <br />The primary specimen is used for the first test. If the test is negative, it is reported to the MRO <br />who then reports the result, following a review of the CCF Form for compliance, to the City. If <br />the initial result is positive or non-negative, a “confirmatory retest” will be conducted on the <br />primary specimen. If the confirmatory re-test is also positive, the result will be sent to the MRO. <br />The MRO will contact the driver to verify the positive result. If the MRO is unable to reach the <br />driver directly, the MRO must contact the City who will direct the driver to contact the MRO. <br /> <br />Review of Test Results <br />The MRO is a licensed physician with knowledge and clinical experience in substance abuse <br />disorders and is responsible for receiving and reviewing laboratory results of the controlled <br />substances test as well as evaluating medical explanations for certain drug test results. Prior to <br />making a final decision to verify a positive test result, the MRO will give the driver or the job <br />applicant an opportunity to discuss the test result, typically through a phone call. The MRO, or a <br />staff person under the MRO’s supervision, will contact the individual directly, on a confidential